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Related Experiment Videos

Total elbow replacement with the GSB III prosthesis.

A G Schneeberger1, R Hertel, C Gerber

  • 1Department of Orthopaedic Surgery, Balgrist, University of Zurich, Switzerland.

Journal of Shoulder and Elbow Surgery
|May 16, 2000
PubMed
Summary
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Total elbow replacement with the GSB III implant provided pain relief and restored function for some patients. However, a high rate of aseptic loosening was observed, suggesting the implant is sensitive to surgical technique and cementing quality.

Area of Science:

  • Orthopedic surgery
  • Biomaterials engineering

Background:

  • Rheumatoid arthritis and post-traumatic osteoarthrosis can severely impair elbow function.
  • Total elbow replacement is a surgical option for managing end-stage elbow joint disease.

Purpose of the Study:

  • To evaluate the clinical outcomes and complication rates of the GSB III total elbow prosthesis.
  • To assess the influence of cementing technique on implant survival and loosening.

Main Methods:

  • Retrospective review of 14 consecutive total elbow replacements using the GSB III implant.
  • Follow-up averaged 6 years, with assessment of implant function, pain, range of motion, and complications using the Mayo elbow performance score.

Main Results:

  • Ten of 14 implants were functioning at follow-up, with 7 rated satisfactory. Significant pain relief was achieved in 50% of cases with functioning implants.

Related Experiment Videos

  • Major complications occurred in 43% of patients, including aseptic loosening in 29% requiring revision surgery.
  • Radiolucent lines were observed in three elbows, and poor cementing technique was significantly associated with aseptic loosening (P = .008).
  • Conclusions:

    • The GSB III total elbow prosthesis can restore function and reduce pain, but carries a high risk of aseptic loosening.
    • The implant's performance appears highly dependent on meticulous surgical technique, particularly proper cementing.
    • Suboptimal cementing is a significant risk factor for GSB III total elbow prosthesis failure.